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Atrophin 1 mutant transcript (ATN1)

Target
ATN1
Molecular classification
RNA transcript, Polyglutamine (polyQ) expansion
01

Overview

The Atrophin 1 (ATN1) mutant transcript is the messenger RNA product of the ATN1 gene containing an abnormally expanded CAG trinucleotide repeat in its coding sequence (UniProt P54259). This expansion leads to the translation of a mutant atrophin-1 protein with an elongated polyglutamine (polyQ) tract, which is the primary driver of dentatorubral-pallidoluysian atrophy (DRPLA), a rare and progressive neurodegenerative disorder (NCBI Gene ID: 1822). The mutant transcript and its protein product are toxic to neurons, particularly in the dentate nucleus and the globus pallidus, leading to symptoms such as ataxia, choreoathetosis, and dementia (PubMed PMID: 24503394). Therapeutic strategies focus on reducing the levels of this pathogenic transcript to prevent the accumulation of toxic protein aggregates. Investigational drugs like VO659, an antisense oligonucleotide (ASO), are designed to target the CAG repeat region to induce RNA degradation or block translation (Vico Therapeutics, 2023). A significant challenge in targeting the ATN1 mutant transcript is achieving allele-specific silencing to preserve the essential biological functions of the wild-type protein while minimizing off-target effects on other CAG-repeat-containing genes.

Other names
Atrophin-1 mRNADRPLA transcriptB37 transcriptNOD transcriptCAG repeat expansion transcript
02

Mechanism of action

Antisense oligonucleotide-mediated knockdown of mutant mRNA

03

Biological functions

Transcriptional corepressionNeuronal developmentCell signaling
04

Disease associations

Dentatorubral-pallidoluysian atrophy (DRPLA)Neurodegenerative disease
05

Safety considerations

Off-target silencing of other CAG-containing genesLoss of wild-type ATN1 functionNeuroinflammation from intrathecal delivery
06

Interacting drugs

VO659
07

Biomarkers

CAG repeat length in the ATN1 geneMutant atrophin-1 protein levels in cerebrospinal fluidNeurofilament light chain (NfL)

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